STACY LYNN MITTEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139782

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

MITTEL

Business Name

STACY LYNN MITTEL

Original Issue Date

01/03/2002

Effective Date

01/03/2002

Expiration Date

03/31/2003

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005